| NPI | 1851532725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1015861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.365004) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2014-09-12 |